West Florida


Oak Hill Hospital

Document Type


Publication Date



orthopedic procedures, big toe, ulcers, flexor tenotomy, healing time, diabetic ulcers, neuropathic ulcers, digital deformity


Pathological Conditions, Signs and Symptoms | Podiatry | Surgical Procedures, Operative


Aims: To assess and evaluate the relationship between flexor tenotomies in a clinical setting and the time course for healing neuropathic, diabetic and structural deformity hallux ulcers.

Methods: This retrospective study analyzes the medical files of 1,471 patients treated for digital foot ulcers by flexor tenotomies between September 2011 and January 2019. For the intent of this particular research, focus was preserved towards the effect of flexor tenotomy on healing time to address hallux ulcers. A total of 97 patients between the ages of 41 and 86 years old underwent flexor tenotomy for the treatment of hallux ulcers with a follow up period of 7 months.

Results: The 97 patients in this study were categorized into diabetic neuropathic ulcers, structural deformity ulcers, and non-diabetic neuropathic ulcers. The total number of females is 46 (48%) and total number of males is 51 (52%). The mean age is 65 years old. Of the total number of ulcers; the non-diabetic neuropathic group comprised 8%, the structural deformity group comprised 17%, and the diabetic neuropathic group comprised 75%. The mean healing time represented 28 days. The shortest healing time was 5 days. And the longest healing time was 105 days.

Conclusions: In many respects, the results of our study provides evidence of improvement in healing time, suggesting flexor tenotomy as an advantageous and effective method for the treatment of hallux ulcers.


Winner - SAM 2020 Poster Competition

Publisher or Conference

Science & Management Symposium - Florida Podiatric Medical Association